ROSSANGEL VARGAS
Miami,USA
Summary
Accommodating Medical Billing Specialist with documented history of exceeding customer and patron expectations. Calm and composed in stressful situations with successful record of reducing customer dissatisfaction through acknowledgment, decisive communication and focused solutions. Expert at finding win-win solutions. Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Hardworking employee with customer service, multitasking and time management abilities. Demonstrates strong teamwork, problem-solving, and time-management skills. Prepared to start career and make meaningful contributions with commitment and drive.
Overview
6
6
years of professional experience
Work History
Medical Billing Specialist
Centrum Health
Doral, FL
08.2024 - Current
- Processed insurance claims, ensuring adherence to regulations and guidelines.
- Working with TriZetto, MDFlow, Availity and other programs
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Conducted audits of billing records for accuracy and compliance with industry standards.
- Collaborated with healthcare providers to resolve billing discrepancies and improve collection processes.
- Trained new staff on medical billing software and best practices for efficient workflows.
Call Center Representative
Centrum Health
Doral, FL
08.2023 - 08.2024
- Adhered strictly to all applicable laws and regulations pertaining to customer privacy rights.
- Developed effective working relationships with team members across multiple departments.
- Attended regular training sessions on updates and changes within the industry or organization.
- Participated in daily huddles with team members in order to discuss common goals and objectives.
- Answered incoming calls from customers and provided assistance with product inquiries, billing questions, and other customer service related issues.
- Provided accurate information regarding products and services while upselling additional products when appropriate.
- Resolved customer complaints in a timely manner to ensure customer satisfaction.
- Maintained records of customer interactions, transactions, comments, and complaints.
- Assisted customers with navigating the company's website to locate desired information or items for purchase.
- Utilized knowledge base to answer inquiries from customers quickly and effectively.
- Followed standard processes and procedures for proper escalation of unresolved issues to appropriate internal teams.
- Performed follow-up calls as necessary to ensure satisfactory resolution of customer inquiries.
- Maintained high levels of professionalism while interacting with customers via phone or email.
- Performed outbound calling campaigns to promote new products or services.
- Answered incoming calls and provided highest level of professionalism and knowledgeable service to every customer.
- Answered, screened and processed high volume of calls daily with call management system and web-based communications.
- Maintained strong call control and quickly worked through scripts to address problems.
- Updated customer accounts, addresses and contact information within call management databases.
Office Assistant
BRLife
Miami, FL
06.2023 - 07.2023
- Greeted visitors, determined their needs and directed them to the appropriate personnel.
- Provided administrative support to staff members, including copying and scanning documents, filing paperwork, and ordering supplies.
- Organized office operations and procedures, such as managing calendars, scheduling appointments, preparing reports and maintaining records.
- Answered incoming calls in a professional manner and directed callers to the appropriate personnel.
- Coordinated travel arrangements for staff members, including making reservations for flights or hotels.
- Performed data entry tasks into various computer systems accurately and efficiently.
- Assisted with special projects as needed by researching information on the internet or through other sources.
- Created spreadsheets using Microsoft Excel to track expenses and other financial data related to the office budget.
- Maintained an organized filing system of paper documents and electronic files.
Cashier Team Lead
Chan's Silk Flowers
Miami, FL
05.2019 - 05.2023
- Assisted cashiers with resolving customer complaints and inquiries.
- Provided guidance to cashiers on how to accurately ring up customers' purchases.
- Trained new cashiers on proper use of registers and store policies.
- Performed daily opening and closing procedures for the register area.
- Conducted inventory audits to ensure accuracy of product levels in the register area.
- Maintained a clean work environment by sweeping floors and wiping down counters regularly.
- Processed refunds and exchanges according to company policy.
- Identified discrepancies between actual sales figures and expected totals.
- Resolved discrepancies between POS system and physical money amounts in drawers at end of shift.
- Managed scheduling, payroll, and time off requests for team members.
Education
Associate of Arts - Nursing
Miami Dade College
Miami, FL05.2026
High School - Administration
Ronald W. Reagan/Doral Senior High School
Doral, FL05.2019
Skills
- Call Control
- Payment Processing
- Account updating
- Complaint resolution
- Customer Relationship Management
- Quality Assurance
- Data Entry
- Training experience
- Problem-solving skills
- Call documentation skills
- Appointment Scheduling
- Resolving issues
- Documentation And Reporting
- System Documentation
- Inbound Phone Call Management
- Quality assurance optimization
- Account Management
- Call Center Customer Service
- Interpersonal Skills
- Database Research
- Customer Support
- Call control skills
- Spanish and English Fluency
- CPT knowledge
- Denial management
- ICD-10 proficiency
- Accounts payable
- Bill payment
- Claims review
- Critical thinking
Languages
Spanish
Native or Bilingual
English
Full Professional
Timeline
Medical Billing Specialist
Centrum Health
08.2024 - Current
Call Center Representative
Centrum Health
08.2023 - 08.2024
Office Assistant
BRLife
06.2023 - 07.2023
Cashier Team Lead
Chan's Silk Flowers
05.2019 - 05.2023
High School - Administration
Ronald W. Reagan/Doral Senior High School
Associate of Arts - Nursing
Miami Dade College